Individual
KELLY VIEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
545 MOCKINGBIRD LN, DIGHTON, MA 02715-1163
(774) 644-2921
Mailing address
545 MOCKINGBIRD LN, DIGHTON, MA 02715-1163
(774) 644-2921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
8802
MA
225X00000X
Occupational Therapist
Primary
OT01459
RI
Other
Enumeration date
06/18/2016
Last updated
06/18/2016
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